Guidelines of care for the management of basal cell carcinoma
Basal cell carcinoma (BCC) is the most common form of human cancer, with a continually increasing annual incidence in the United States. When diagnosed early, the majority of BCCs are readily treated with office-based therapy, which is highly curative. In these evidence-based guidelines of care, we...
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| Published in: | Journal of the American Academy of Dermatology Vol. 78; no. 3; pp. 540 - 559 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Elsevier Inc
01-03-2018
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| Online Access: | Get full text |
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| Abstract | Basal cell carcinoma (BCC) is the most common form of human cancer, with a continually increasing annual incidence in the United States. When diagnosed early, the majority of BCCs are readily treated with office-based therapy, which is highly curative. In these evidence-based guidelines of care, we provide recommendations for the management of patients with BCC, as well as an in-depth review of the best available literature in support of these recommendations. We discuss biopsy techniques for a clinically suspicious lesion and offer recommendations for the histopathologic interpretation of BCC. In the absence of a formal staging system, the best available stratification based on risk for recurrence is reviewed. With regard to treatment, we provide recommendations on treatment modalities along a broad therapeutic spectrum, ranging from topical agents and superficially destructive modalities to surgical techniques and systemic therapy. Finally, we review the available literature and provide recommendations on prevention and the most appropriate follow-up for patients in whom BCC has been diagnosed. |
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| AbstractList | Basal cell carcinoma (BCC) is the most common form of human cancer, with a continually increasing annual incidence in the United States. When diagnosed early, the majority of BCCs are readily treated with office-based therapy, which is highly curative. In these evidence-based guidelines of care, we provide recommendations for the management of patients with BCC, as well as an in-depth review of the best available literature in support of these recommendations. We discuss biopsy techniques for a clinically suspicious lesion and offer recommendations for the histopathologic interpretation of BCC. In the absence of a formal staging system, the best available stratification based on risk for recurrence is reviewed. With regard to treatment, we provide recommendations on treatment modalities along a broad therapeutic spectrum, ranging from topical agents and superficially destructive modalities to surgical techniques and systemic therapy. Finally, we review the available literature and provide recommendations on prevention and the most appropriate follow-up for patients in whom BCC has been diagnosed. |
| Author | Brown, Marc Nehal, Kishwer Margolis, David J. Boyer, Kevin Messina, Jane Yu, Siegrid Busam, Klaus J. Schmitt-Burr, Kristi Bordeaux, Jeremy S. Armstrong, April Rodgers, Phillip Miller, Alexander Bichakjian, Christopher Moyer, Jeffrey Miller, Stanley Teng, Joyce Sekulic, Aleksandar Begolka, Wendy Smith Huang, Conway Kim, John Y.S. Kozlow, Jeffrey H. Mittal, Bharat Eisen, Daniel B. Baum, Christian Olencki, Thomas Mowad, Christen Iyengar, Vivek Lober, Clifford Storrs, Paul Alam, Murad Mostow, Eliot |
| Author_xml | – sequence: 1 givenname: Christopher surname: Bichakjian fullname: Bichakjian, Christopher organization: Department of Dermatology, University of Michigan School of Medicine, University of Michigan, Ann Arbor, Michigan – sequence: 2 givenname: April surname: Armstrong fullname: Armstrong, April organization: Department of Dermatology, University of Colorado, Denver, Colorado – sequence: 3 givenname: Christian surname: Baum fullname: Baum, Christian organization: Department of Dermatology, Mayo Clinic, Rochester, Minnesota – sequence: 4 givenname: Jeremy S. surname: Bordeaux fullname: Bordeaux, Jeremy S. organization: Case Western Reserve University School of Medicine, Cleveland, Ohio – sequence: 5 givenname: Marc surname: Brown fullname: Brown, Marc organization: Department of Dermatology, University of Rochester, Rochester, New York – sequence: 6 givenname: Klaus J. surname: Busam fullname: Busam, Klaus J. organization: Dermatopathology, Memorial Sloan Kettering Cancer Center, New York, New York – sequence: 7 givenname: Daniel B. surname: Eisen fullname: Eisen, Daniel B. organization: Department of Dermatology, University of California Davis, Sacramento, California – sequence: 8 givenname: Vivek surname: Iyengar fullname: Iyengar, Vivek organization: Private practice, Chicago, Illinois – sequence: 9 givenname: Clifford surname: Lober fullname: Lober, Clifford organization: Private practice, Kissimmee, Florida – sequence: 10 givenname: David J. surname: Margolis fullname: Margolis, David J. organization: University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania – sequence: 11 givenname: Jane surname: Messina fullname: Messina, Jane organization: Department of Pathology, University of South Florida, Tampa, Florida – sequence: 12 givenname: Alexander surname: Miller fullname: Miller, Alexander organization: Private practice, Yorba Linda, California – sequence: 13 givenname: Stanley surname: Miller fullname: Miller, Stanley organization: Private practice, Towson, Maryland – sequence: 14 givenname: Eliot surname: Mostow fullname: Mostow, Eliot organization: Dermatology Section, NEOMED, Rootstown, Ohio – sequence: 15 givenname: Christen surname: Mowad fullname: Mowad, Christen organization: Geisinger Medical Center, Danville, Maryland – sequence: 16 givenname: Kishwer surname: Nehal fullname: Nehal, Kishwer organization: Memorial Sloan Kettering Cancer Center, New York, New York – sequence: 17 givenname: Kristi surname: Schmitt-Burr fullname: Schmitt-Burr, Kristi organization: Basal Cell Carcinoma Nevus Syndrome Life Support Network, Burton, Ohio – sequence: 18 givenname: Aleksandar surname: Sekulic fullname: Sekulic, Aleksandar organization: Mayo Clinic, Phoenix, Arizona – sequence: 19 givenname: Paul surname: Storrs fullname: Storrs, Paul organization: Private practice, Chicago, Illinois – sequence: 20 givenname: Joyce surname: Teng fullname: Teng, Joyce organization: Stanford School of Medicine, Stanford, California – sequence: 21 givenname: Siegrid surname: Yu fullname: Yu, Siegrid organization: Dermatologic Surgery and Laser Center, University of California San Francisco, San Francisco, California – sequence: 22 givenname: Conway surname: Huang fullname: Huang, Conway organization: Department of Dermatology, University of Alabama, Birmingham, Alabama – sequence: 23 givenname: Kevin surname: Boyer fullname: Boyer, Kevin organization: American Academy of Dermatology, Schaumburg, Illinois – sequence: 24 givenname: Wendy Smith surname: Begolka fullname: Begolka, Wendy Smith email: wsmithbegolka@aad.org organization: American Academy of Dermatology, Schaumburg, Illinois – sequence: 25 givenname: Murad surname: Alam fullname: Alam, Murad organization: Department of Dermatology, Northwestern University, Chicago, Illinois – sequence: 26 givenname: John Y.S. surname: Kim fullname: Kim, John Y.S. organization: Department of Plastic and Reconstructive Surgery, Northwestern University, Chicago, Illinois – sequence: 27 givenname: Jeffrey H. surname: Kozlow fullname: Kozlow, Jeffrey H. organization: Section of Plastic and Reconstructive Surgery, University of Michigan School of Medicine, University of Michigan, Ann Arbor, Michigan – sequence: 28 givenname: Bharat surname: Mittal fullname: Mittal, Bharat organization: Department of Radiation Oncology, Northwestern University, Chicago, Illinois – sequence: 29 givenname: Jeffrey surname: Moyer fullname: Moyer, Jeffrey organization: Plastic/Head/Neck Surgery, Department of Otolaryngology, University of Michigan School of Medicine, University of Michigan, Ann Arbor, Michigan – sequence: 30 givenname: Thomas surname: Olencki fullname: Olencki, Thomas organization: Department of Internal Medicine, Ohio State University, Columbus, Ohio – sequence: 31 givenname: Phillip surname: Rodgers fullname: Rodgers, Phillip organization: Department of Family Medicine, University of Michigan School of Medicine, University of Michigan, Ann Arbor, Michigan |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29331385$$D View this record in MEDLINE/PubMed |
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| Copyright | 2017 American Academy of Dermatology, Inc. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved. |
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| Keywords | RCT NCCN STEVIE metastasis AJCC phototherapy surveillance staging cSCC MM PDT curettage BCC C&E AAD NMSC MMS SMO ALA biopsy radiotherapy basal cell carcinoma MAL PI topical therapy surgery 5-FU |
| Language | English |
| License | Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved. |
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| Title | Guidelines of care for the management of basal cell carcinoma |
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